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1083028112
WITNI JACKSON
JONESBORO, GA
NPI
1083028112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW004999)
Enumeration Date
2014-06-17
Last Update Date
2014-06-17
Business Address
-- WITNI JACKSON
853 BATTLECREEK RD
JONESBORO, GA 30236-1919
Phone number: 770-478-1099
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Mailing Address
-- WITNI JACKSON
853 BATTLECREEK RD
JONESBORO, GA 30236-1919
Phone number: 770-478-1099
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